Provider Demographics
NPI:1538243860
Name:ANBALAGAN, PAPPATHI (MD)
Entity type:Individual
Prefix:DR
First Name:PAPPATHI
Middle Name:
Last Name:ANBALAGAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PAPPATHI ANBALAGAN C/O COLER-GOLDWATER
Mailing Address - Street 2:ONE MAIN STREET
Mailing Address - City:ROOSEVELT ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10044
Mailing Address - Country:US
Mailing Address - Phone:212-318-4242
Mailing Address - Fax:212-318-4874
Practice Address - Street 1:PAPPATHI ANBALAGAN C/O COLER-GOLDWATER
Practice Address - Street 2:ONE MAIN STREET
Practice Address - City:ROOSEVELT ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10044
Practice Address - Country:US
Practice Address - Phone:212-318-4242
Practice Address - Fax:212-318-4874
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
NY20341001207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY20341001OtherNYS MEDICAL LICENSE
NY20341001OtherNYS MEDICAL LICENSE